Alcohol and Drugs
|
Alcohol and Drugs |
Alcohol and Drug Dependency/Addiction
Introduction
TRAUMATIC BRAIN INJURY & SUBSTANCE ABUSE
Traumatic brain injury (TBI) can be associated with alcohol and drug abuse problems. Abuse of alcohol and drugs may interfere with recovery during treatment and rehabilitation. Alcohol or drug abuse may cause or increase depression and loneliness, and may further impair judgment and memory. If alcohol or drug abuse was a problem prior to TBI, tolerance of alcohol may be drastically lowered and the risk for acquiring another TBI is increased.
• Substances include alcohol and other mind altering drugs
• Abuse involves continued use despite the consequences or recurrent use in situations when use is dangerous
• Dependence involves impaired control of the use of the substance and the continued use despite the consequences
GETTING HELP
There are a variety of agencies and facilities listed in
this resource guide, and different programs offer different approaches.
Individuals should seek help from a program that suits their personality and
recovery needs.
In addition to programs, you’ll find references to articles addressing how
alcohol affects recovery. Other resources prepare families to talk with the
individual about substance abuse. These resources include:
• Regional Clearinghouses and Information centers in Washington state
• Regional Support Networks (RSNs) Services Information
• Recovery Services
• Help Lines and Support Groups
• Publications on issues relating to traumatic brain injury and addiction
Sources: Michigan Resource Guide for Persons with
Traumatic Brain Injury and their Families; Family & Survivors: National Resource
Center for Traumatic Brain Injury. (2000). The Brain Injury Source Book: Answers
to Questions Most Often Asked, Richmond, VA: Virginia Commonwealth University:
82-84;
http://www.tbi-sci.org/tbird/pdf/tbird01.pdf
For more information on traumatic brain injury, please contact your doctor or
refer to the TBI Toolkit, produced by the Washington State Department of Social
and Health Services,
http://www.aasa.dshs.wa.gov/Library/tbitoolkit.pdf
Alcoholism and Drug Addiction Treatment and
Support Act - ADATSA Phone:
1-877-301-4557
Web site: http://www.fortress.wa.gov/dshs/f2ws03esaaps/onlinecso/ADATSA.asp
Description: Help in getting drug or alcohol treatment, client may receive cash
assistance when enrolled in outpatient treatment.
Areas Served: Statewide
Eligibility: Washington state residents 18 years old or older, U.S. citizen or
eligible alien, meet income and resource requirements, be assessed by a
department-designated chemical dependency center as having an alcohol or drug
dependency
How to apply: Call for services
Division of Alcohol & Substance Abuse DASA
Phone: 360-725-3700; Toll Free: 1-877-301-4557.
Web site:
http://www.dshs.wa.gov/dasa
Description: State agency that coordinates efforts to help individuals and
communities with problems related to the abuse of drugs and alcohol. DASA
contracts with organizations in the community to provide prevention, treatment,
and other support services for individuals with problems related to alcohol,
tobacco, and drugs.
Areas Served: Statewide
Eligibility: Anyone with questions about drugs or substance abuse
How to apply: Call for services
Within Reach/Family Health Hotline
Phone: 1-800-322-2588; TTY relay: 711 or 1-800-833-6388
Email: jenniferc@withinreachwa.org
Web site:
http://www.withinreachwa.org
Description: Provides information and referral for social and health services
across Washington state. Also provides eligibility screenings for many programs,
including Medicaid, WIC (The Nutrition Program for Women, Infants and Children),
Basic Food and Take Charge Family Planning.
Areas Served: Washington state
Eligibility: At-risk mothers and babies (substance abuse)
How to apply: Call or email for services
Fees: Most services are covered by Medicare, Medicaid or private insurance.
Languages other than English: English and Spanish, with access to interpretation
for 50 other languages
Washington State Alcohol/Drug Clearinghouse (RADAR)
6535 5th Pl So – Seattle, WA 98108
Phone: 1-800-662-9111 (toll-free in Washington); 206-725-9696 (Seattle); Fax:
206-760-0589 Email:
clearinghouse@adhl.org
Web site:
http://clearinghouse.adhl.org/
Description: Provides information to the people of Washington state on issues
relating to alcohol and other drugs. As the state's designated Regional Alcohol
and Drug Awareness Resource (RADAR) Network
Center, WSADC links local communities with clearinghouses and information
centers worldwide. The Clearinghouse has brochures, posters, videos, and other
educational material.
Areas Served: Statewide
Eligibility: Anyone with questions about drugs or substance abuse.
How to apply: Call for services
REGIONAL SUPPORT NETWORKS (RSNS) SERVICES INFORMATION
King County Mental Health, Chemical Abuse
and Dependency Services Division
401 5th Ave., Ste 400 –
Seattle, WA 98104
Phone: (206) 296-5213; Toll Free: 1-800-790-8049; 24-Hour Crisis Line: 206-263-9200
Ombuds Services: 1-800-790-8049
Web site:
http://www.metrokc.gov/dchs/mhd/dasa.htm
Description: Information, referrals and support
Areas Served: King County
Eligibility: Anyone with questions about drugs or substance abuse
How to apply: Call for services locations of other Washington regional offices
Chemical Abuse Resources and Education
(CARE)
721 So Fawcett Ave. #205 – Tacoma, WA
98402
Phone: (253) 572-2273 - CAREline
Email:
care@mdc-tacoma.org
Web site:
http://www.caretacoma.org
Areas Served: Pierce County
Description: County funded community service program provides information and
referrals for Chemical Dependency outpatient or inpatient programs. Services
include substance abuse assessment, detox, treatment, family support and
education, employment readiness training and job placement, aftercare, and
crisis counseling.
Traumatic Brain Injury: Provides referrals to programs specific to persons with
traumatic brain injury.
Ethnic-specific services include a bilingual program for the Hispanic community and programming designed to address the culturally specific issues of Native American clients, as well as the needs of persons with disabilities.
Youth Outpatient Treatment Services: Agencies collaborate with school personnel and juvenile justice staff to provide a range of treatment, Early Periodic Screening, Diagnosis, & Treatment (EPSDT) services, outreach and support services to youth and their families throughout Pierce County.
Pregnant, Postpartum, and Parenting Women’s Outpatient: Includes treatment for mothers and programs for children of parents in treatment; maternity case management; treatment outreach and support.
Eligibility: Serves clients who are unemployable
due to incapacity resulting from addiction. Services offered include treatment,
educational.
How to Apply: Access to services by referral through local Department of Social
and Health Services (DSHS) offices only
RECOVERY SERVICES
Highline Recovery Services
Highline Specialty Center
12844 Military Rd S - Tukwila, WA
98168
Phone: (206) 248-4787
Email:
mvarela@highlinemedical.org
Web site:
http://www.highlinehospital.org/services/addictionrecovery.php
Description: Provide medical detoxification, inpatient stabilization and
outpatient services. Patients are under the care of an addictionologist, a
physician who has a specialty in addiction medicine. Our experienced staff
includes licensed chemical dependency professionals, RNs, LPNs and a master’s
level family therapist.
Areas Served: Southwest King County area including the local Highline
communities, West Seattle, Renton, Kent, Covington, Auburn, Federal Way and the
Black Diamond area
Eligibility: Anyone with questions about drugs or substance abuse
How to apply: Call for 24-Hour services
Fees: Most health-insurance plans and Medicare cover the cost of treating
substance dependence
Providence Medical Center – Behavioral Health/Detox
916 Pacific Avenue - Everett, WA
98206
Phone: (425) 258-7390
Web site:
http://www.providence.org/
Description: Hospital-based JCAHO and Washington State Division of Alcohol and
Substance Abuse certified program. Provides medical detoxification and
rehabilitative treatment for alcoholism and other drug dependencies. Outpatient
chemical dependency treatment provider for adults, youth and families.
Areas Served: Centralia, Chehalis,
Morton, Longview, Lewis County, Southwest Washington
Eligibility: Chemical dependency
Fees: Medicare and most insurance plans may cover program costs. Additional
financial resources are available for those in need of help to support their
treatment process
Swedish Addiction Recovery/Ballard Campus
5300 Tallman Ave. N.W. Seattle, WA
98107-3985
Phone: (206) 781-6048
Web site:
http://www.swedish.org/
Description: Our services for patients with chemical dependency or a history of
chemical abuse include: evaluation and diagnosis, medical detoxification,
treatment for pregnant and postpartum women, and intensive outpatient treatment.
Areas Served: Western WA and the Pacific Northwest
Eligibility: Anyone with questions about drugs or substance abuse.
How to apply: Call for 24-Hour services
Fees: Most health-insurance plans and Medicare cover the cost of treating
substance dependence
www.sober.com – World Wide Web Information
and Referral Service
Phone: 866.762.3747
Email:
info@soberhouses.com
Web site:
http://www.sober.com/
Description: This directory has listings of all the drug rehab programs and
treatment centers, alcohol rehabilitation programs, halfway houses, sober
houses, eating disorder centers and clinics, drug detoxifications and alcohol
detox centers, and drug addiction recovery related products in the country.
Areas Served: Nationwide
Eligibility: Anyone with questions about drugs or substance abuse.
How to apply: Call for services
HELP LINES AND SUPPORT GROUPS
Alcohol / Drug Help Line
Greater Seattle Area & Washington
State
Phones: 206-722-3700; Toll-Free: Washington State 800-562-1240; TTY:
206-722-3724
Web Site:
http://www.adhl.org/
Description: A crisis intervention service available 24 hours a day, seven days
a week.
Areas Served: Washington state
Eligibility: Anyone with questions about drug or alcohol abuse
How to apply: Call for services - 24-Hour Services
Teen Alcohol / Drug Help Line
Phone: 800-562-1240 / 800-722-4222
Web site:
http://www.adhl.org/
Description: A crisis intervention and referral service for Washington
State teens to call 24
hours a day, seven days a week. Areas Served: Washington state
Eligibility: Anyone with questions about drug or alcohol abuse
How to apply: Call for services - 24-Hour Services
Al-Anon Family Groups (AFG)
Greater Seattle Al-Anon Intergroup Council, Inc
1402 Third Ave, Vance Bldg, Suite 803, Seattle, WA
98101
Phone: 206-625-0000 Fax: 206-625-0018
Email:
info@seattle-al-anon.org
Web site:
http://www.seattle-al-anon.org
Description: The Al-Anon Family Groups (AFG) are fellowship of relatives and
friends of alcoholics who share their experience, strength and hope in order to
solve their common problems. We believe alcoholism is a family illness and that
changed attitudes can aid recovery. On-Line support groups are available.
Areas Served: King and Snohomish counties
Eligibility: Anyone with questions about drugs or abuse
How to apply: Call for services
Seattle Area Narcotics Anonymous
Phone: 206-790-8888 (Seattle); 425-451-1516 (Eastside)
Web site:
http://www.seattlena.org/
Email:
info@seattlena.org
Description: Narcotics Anonymous is a fellowship of recovering addicts who meet
regularly to help each other stay clean and build a new way of life.
Areas Served: Western Washington
Eligibility: Anyone with questions about drugs or abuse
How to apply: Call for services
Cocaine Anonymous International
Phone: 1-800-347-8998 Referral Line Web site:
http://www.caofwa.org/
Description: Cocaine Anonymous is a fellowship of men and women who share their
experience, strength and hope with each other that they may solve their common
problem and help others recover from their addiction.
Areas Served: Washington state
Eligibility: The only requirement for membership is a desire to stop using
cocaine and all other mind-altering substances.
How to apply: Call for services
Fees: There are no dues or fees for membership; we are fully self-supporting
through our own contributions
Alcoholics Anonymous
Web site:
http://www.area72aa.org
Description: A fellowship of men and women who share their experience, strength
and hope with each other that they may solve their common problem and help
others to recover from alcoholism. Areas Served: Western Washington
Eligibility: The only requirement for membership is a desire to stop drinking
How to apply: Call for services
Fees: There are no dues or fees for membership; we are fully self-supporting
through our own contributions
SELECT PUBLICATIONS:
“Diagnosis and Treatment of Addictions in Traumatic Brain Injury,” Miller, Norman S. in Alcoholism Treatment Quarterly, vol. 13, no. 3, 1995, pp.15-30, 1995. This article discusses the diagnosis and treatment of alcohol and drug disorders in patients with traumatic brain injury (TBI). Special considerations in the treatment of addiction in TBI patients due to cognitive and emotional problems arising from the brain damage are described. Recommendations are provided for clinical application and long term recovery for the addicted TBI patient.
Overview of Traumatic Brain Injury Rehabilitation lists 2350 articles on Traumatic Brain Injury Rehabilitation, on the web site of the National Library of Medicine http://www.nlm.nih.gov/pubs/cbm/tbi.html#25 . January 1988 through August 1998, plus selected earlier citations
Did I Mention the Teeth? Bogner, Jennifer; Lamb-Hart, Gary. i.e. Magazine, vol. 3, no. 1, 1995, pp. 2-15, 1995. This article discusses the problems associated with the usage of alcohol and other drugs after a brain injury. Facts addressing how alcohol affects recovery are provided. Families are encouraged to talk with the survivor about substance abuse.
"The natural history of drinking and alcohol-related problems after traumatic brain injury," by Charles H. Bombardier, Ph.D., Nancy R. Temkin, Ph.D., Joan Machamer, M.A., and Sureyya S. Dikmen, Ph.D., in the February 2003 Archives of Physical Medicine and Rehabilitation 84, pp. 185-191.